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Difference between revisions of "Adminstrative Management Domain Analysis Model"

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== Introduction ==
 
The Administrative Management Domain Analysis Model is a joint project of the [[Financial_Management_Committee | Financial Management]], Patient Administration and Personnel Management Technical Committees.  The links on this page are for artifacts being developed as part of this project.
 
The Administrative Management Domain Analysis Model is a joint project of the [[Financial_Management_Committee | Financial Management]], Patient Administration and Personnel Management Technical Committees.  The links on this page are for artifacts being developed as part of this project.
  
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* Collaborative Storyboard
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== Collaborative Storyboard ==
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** [[AMDO_ST000001 Total Hip Replacement]]
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[[AMDO_ST000001 Total Hip Replacement]]
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<br>
 
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* Business Processes (Identified in the Collaborative Storyboard)
 
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** '''FM Account & Billing Domain'''
 
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*** Patient Billing Account Topic
 
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**** Close Patient Billing Account 
 
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**** Create Patient Billing Account 
 
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**** Delete Patient Billing Account 
 
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**** Merge Patient Billing Account 
 
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**** Update Patient Billing Account
 
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*** Patient Billing Post Topic
 
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**** Post Financial Transaction Notification
 
  
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** '''FM Financial Coverage Domain'''
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==FM Account & Billing Domain==
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*** Eligibility Determination Topic
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===Patient Billing Account Topic===
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*** Healthcare Coverage Enrollment Topic  
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[[Close Patient Billing Account]] 
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*** Eligibility Verification Topic   
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[[Create Patient Billing Account]] 
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*** Policy or Program Contract Topic  
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[[Delete Patient Billing Account]] 
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*** Healthcare Explanation of Benefit Topic  
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[[Merge Patient Billing Account]] 
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*** Healthcare Certificate Of Creditable Coverage Topic  
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[[Update Patient Billing Account]]
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*** Continuation of Coverage Topic  
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===Patient Billing Post Topic===
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*** Covered Parties Topic  
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[[Post Financial Transaction Notification]]
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*** Adverse Determination Appeal Topic  
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 +
==FM Financial Coverage Domain==
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===Eligibility Determination Topic===
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[[Premium Assistance DAM | Premium Assistance]]
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 +
===Healthcare Coverage Enrollment Topic===
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===Eligibility Verification Topic===  
 +
===Policy or Program Contract Topic===
 +
===Healthcare Explanation of Benefit Topic===
 +
===Healthcare Certificate Of Creditable Coverage Topic===
 +
===Continuation of Coverage Topic===
 +
===Covered Parties Topic===
 +
===Adverse Determination Appeal Topic===
 
   
 
   
 
** '''FM Claims & Reimbursement Domain'''
 
** '''FM Claims & Reimbursement Domain'''
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*** Poll Topic
 
*** Poll Topic
  
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**** Verify Eligibility <Link to Verify Eligibility page>
 
 
** '''Patient Administration Domain'''
 
** '''Patient Administration Domain'''
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*** Patient Registry Topic
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*** Person Topic
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**** Register Patient
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*** PatientLivingSubject Topic
 +
 
 
** '''Personnel Management Domain'''
 
** '''Personnel Management Domain'''
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*** Human Resource Topic
 +
*** Regulatory Topic
 
*** Provider Registry Topic
 
*** Provider Registry Topic
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**** Link to page
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*** Organization Registry Topic
 +
 
 +
** '''Scheduling Domain'''
 +
*** Appointment Topic

Latest revision as of 21:12, 10 May 2006

Introduction

The Administrative Management Domain Analysis Model is a joint project of the Financial Management, Patient Administration and Personnel Management Technical Committees. The links on this page are for artifacts being developed as part of this project.

Collaborative Storyboard

AMDO_ST000001 Total Hip Replacement

FM Account & Billing Domain

Patient Billing Account Topic

Close Patient Billing Account   
Create Patient Billing Account   
Delete Patient Billing Account   
Merge Patient Billing Account   
Update Patient Billing Account

Patient Billing Post Topic

Post Financial Transaction Notification

FM Financial Coverage Domain

Eligibility Determination Topic

 Premium Assistance

Healthcare Coverage Enrollment Topic

Eligibility Verification Topic

Policy or Program Contract Topic

Healthcare Explanation of Benefit Topic

Healthcare Certificate Of Creditable Coverage Topic

Continuation of Coverage Topic

Covered Parties Topic

Adverse Determination Appeal Topic

    • FM Claims & Reimbursement Domain
      • Eligibility Topic
      • Authorization Topic
      • Coverage Extension Topic
      • Pre-Determination Topic
      • Invoice Topic
      • Payment Advice Topic
      • SOFA Topic
      • Poll Topic
    • Patient Administration Domain
      • Person Topic
      • PatientLivingSubject Topic
    • Personnel Management Domain
      • Human Resource Topic
      • Regulatory Topic
      • Provider Registry Topic
      • Organization Registry Topic
    • Scheduling Domain
      • Appointment Topic
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